摘要
目的：探讨儿童及青少年甲状腺癌的临床特点、外科手术治疗及其预后。方法回顾性分析我院2005年至2014收治的20岁以下甲状腺癌25例。结果乳头状癌16例，滤泡状癌7例，髓样癌2例，21例为Ⅰ期，4例为Ⅱ期，均实行手术治疗，其中单侧颈淋巴结清扫术7例，双侧颈淋巴结清扫术3例。术后病理示颈淋巴结转移6例，术后131I 治疗2例，术后均长期口服左旋甲状腺素片。平均随访5．2年（1－9年）至今无一例死亡。结论儿童及青少年甲状腺癌预后较好。选择合理手术方式及术后辅助治疗，可以取得满意的疗效。
Abstract
Objective:To investigate the clinical features 、the surgical therapy and the prognosis of the thyroid carcinoma in children and teenager,the clinical characteristics in 25 cases of the thyroid carcinoma in children and teenager were analyzed.Methods:Clinical data of 25 children under the age of 20,diagnosed as thyoid carcinoma between Jan.2005 and Mar.2014, were reviewed.Results:According to UICC clinical and histopathologic classification (2002),21 of them were classified as stage Ⅰ,4 of them were classified as stage Ⅱ.16 (64%)had pa-pil ary carcinoma,7(28%)had fol icular carcinoma,2 (8%)had medul ary carcinoma.Al of the patients had received operation and postoperative thyroxin therapy.Unilateral and bilateral neck dissection had been performed in 7 and 3 patients.21 had cervical lymph node metastasis.4 had 131I therapy.The fol ow -up period was 1 to 9years (median,5.2years).Al of them are survival.Conclusions:The thyroid carcinoma in children and teenager have good prognosis,if they were given proper therapy,we’l receive good ef icacy.
NETL
NSTL
维普
万方数据